I'm gonna guess that your prescribed inhaler contains a steroid. My pulmo guy has prescribed several meds (Breztri, etc.) and a couple of add-on steroids, "just try this", and I'm a willing guinea pig. BUT... every time I've started inhaling a steroid, I develop a hoarse, scratchy voice, and sometimes a tightness in my throat - not exactly desirable results - and so after discontinuing them, voice and throat return to normal. I'm grateful that my pulmonologist pays attention, listens, takes notes. We're learning together. I'm back to Stiolto (tiotropium and olodaterol) and while I'm not scheduled for any marathons, I'm doing as OK as I can be, I think.